Organization Active NPI

Stephen Padgett MD LLC

  • Obstetrics & Gynecology Physician
  • Lafayette, LA
National Provider Identifier
1336767805
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
STEPHEN PADGETT MD LLC
Practice address
1211 Coolidge Street
Suite 405
Lafayette, LA 70503-2638
Phone
(337) 233-7524
Fax
(337) 233-7567
NPI assigned
Jul 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stephen Padgett, MDNPI 1639531130
Title
Physician
Phone
(337) 233-7524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1211 Coolidge Street
Suite 405
Lafayette, LA 70503-2638

Mailing address

1211 Coolidge Street
Suite 405
Lafayette, LA 70503-2638
Phone (337) 233-7524

Other identifiers 1

IdentifierTypeStateIssuer
2412795MedicaidLA

Other names 1

  • Stephen Padgett, MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201124001458 LA Part B Supplier - Clinic/Group Practice 8921419953 Receives reassigned benefits from 12 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

1211 Coolidge Blvd
Ste 405
Lafayette, LA 70503
Phone (337) 233-7524

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1336767805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE STREET",
            "address_2": "SUITE 405",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032638",
            "telephone_number": "337-233-7524",
            "fax_number": "337-233-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE STREET",
            "address_2": "SUITE 405",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032638",
            "telephone_number": "337-233-7524",
            "fax_number": "337-233-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN PADGETT MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-233-7524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2412795",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen Padgett, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.